Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TWIN FOUNTAINS DENTAL, PLLC

NPI: 1477332351 · AUSTIN, TX 78753 · Dentist · NPI assigned 09/28/2023

$10K
Total Medicaid Paid
350
Total Claims
287
Beneficiaries
8
Codes Billed
2024-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLABBE, PAUL (CO-OWNER)
NPI Enumeration Date09/28/2023

Related Entities

Other providers sharing the same authorized official: LABBE, PAUL

ProviderCityStateTotal Paid
PLANET ORAL HEALTHCARE ZAPATA LAREDO TX $7.36M
PLANET ORAL HEALTH CARE CALTON, PLLC LAREDO TX $5.97M
MENTA DENTAL LAREDO TX $21K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 350 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 73 71 $2K
D0145 Oral evaluation for a patient under three years of age 15 15 $2K
D1351 Sealant - per tooth 70 16 $2K
D1120 Prophylaxis - child 44 42 $1K
D0330 Panoramic radiographic image 14 14 $892.92
D1208 Topical application of fluoride, excluding varnish 66 64 $837.90
D0603 53 51 $0.00
D0602 15 14 $0.00